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Evaluation of the Efficiency of Telemedicine in the Management of Cardiovascular Diseases in Primary Healthcare in Sub-Saharan Africa: A Medico-Economic Study in Cameroon
Georges Bediang, Chris Nadège Nganou-Gnindjio, Yannick Kamga, Jean Serge Ndongo, Fred-Cyrille Goethe Doualla, Cheick Oumar Bagayoko, Samuel Nko’o
910 - 914
10.3233/SHTI220623
Research Article
Studies in Health Technology and Informatics
Volume 294: Challenges of Trustable AI and Added-Value on Health
Abstract

Objective:

To assess the efficiency of tele-expertise (tele-ECG) for patients and for health facilities in managing patients with cardiovascular diseases (CVDs) in primary health care in Cameroon.

Method:

This study was a medico-economic study combining two approaches: cost minimization and cost-effectiveness analysis. It was conducted alongside the previous published controlled multicenter study carried out in Cameroon’s two health facilities where tele-ECG has been implemented (intervention centres) and two other where telemedicine has been not implemented (control centres).

Results:

The average total cost for patients was 9 286 F CFA (US$: 16) in the intervention centres compared to 28 357 F CFA (US$: 49) in the control centres (p <0.01). The calculated ICER favouring tele-ECG was 25 459.6 F CFA (US$: 44).

Discussion:

Telemedicine is efficient for managing patients with CVDs in primary health care in Cameroon. It enables health facilities in remote areas to offer new healthcare services at a lower cost and improve patients’ financial access to healthcare.

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